窄带成像技术在喉部肿瘤中应用的探讨

发布时间：2018-02-27 03:40

本文关键词： 窄带成像喉癌癌前病变电子鼻咽喉镜　出处：《临床耳鼻咽喉头颈外科杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:探讨窄带成像(NBI)技术在喉部肿瘤中的应用。方法:选取2014-04-2016-10期间就诊于我院门诊,怀疑喉部恶性肿瘤或癌前病变的312例患者,每位患者均用白光和NBI模式的电子鼻咽喉镜进行观察,以病理结果为诊断金标准,判断白光模式和NBI模式电子鼻咽镜对喉部肿瘤诊断的敏感性、特异性和准确性。结果:白光模式对喉肿物诊断的敏感性、特异性和准确性分别为77.17%、62.07%和74.36%;NBI模式对喉肿物诊断的敏感性、特异性和准确性分别为92.91%、77.59%和90.06%;NBI模式对喉肿物诊断的敏感性和准确性均高于白光模式,差异有统计学意义(P0.05,),但两者对喉肿物诊断的特异性差异无统计学意义(P0.05)。结论:电子鼻咽喉镜NBI技术不仅发现喉癌早期病变,而且可以提高喉部肿瘤诊断的敏感性和准确性,有着广阔的应用前景。
[Abstract]:Objective: to investigate the application of narrow band imaging (NBI) technique in laryngeal neoplasms. Methods: 312 patients with suspected laryngeal malignant tumor or precancerous lesion were selected from the outpatient clinic of our hospital during 2014-04-2016-10. Each patient was observed with electronic nasopharyngoscope of white light and NBI mode, and the sensitivity of electronic nasopharyngoscope of white light mode and NBI mode to diagnosis of laryngeal tumor was judged by using pathological results as diagnostic gold standard. Results: the sensitivity of the white light model to the diagnosis of laryngeal masses was 77.17% and 74.36 6% respectively, and the sensitivity of the NBI model to the diagnosis of laryngeal masses was 77.17% and 74.36 6% respectively. The specificity and accuracy of NBI model were 92.91% and 90.06%, respectively, and the sensitivity and accuracy of NBI model for diagnosis of laryngeal masses were higher than that of white light mode. The difference was statistically significant (P 0.05), but there was no significant difference between the two groups in the diagnosis of laryngeal neoplasms. Conclusion: electronic nasopharyngeal laryngoscope NBI can not only find the early lesions of laryngeal carcinoma, but also improve the sensitivity and accuracy of diagnosis of laryngeal neoplasms. It has broad application prospect.
【作者单位】：天津市第一中心医院耳鼻咽喉头颈外科
【分类号】：R739.65

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